Active NPI
Idaho Pain Associates PLLC
- Certified Registered Nurse Anesthetist
- Eagle, ID
National Provider Identifier
1235046731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- IDAHO PAIN ASSOCIATES PLLC
- Practice address
- 100 Cottonwood CT # D150
Eagle, ID 83616-6576 - Phone
- (208) 917-2713
- Fax
- (208) 955-2029
- NPI assigned
- Aug 27, 2026
- Last updated
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Coleman, CRNA
- Title
- Partner
- Phone
- (951) 264-2258
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
100 Cottonwood CT # D150
Eagle, ID 83616-6576
Mailing address
100 Cottonwood CT # D150
Eagle, ID 83616-6576
Phone (208) 917-2713
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Eagle, ID
- NPI 1982841573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1235046731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COTTONWOOD CT # D150",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166576",
"telephone_number": "208-917-2713",
"fax_number": "208-955-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COTTONWOOD CT # D150",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166576",
"telephone_number": "208-917-2713",
"fax_number": "208-955-2029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDAHO PAIN ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "951-264-2258",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.